At least we agree on one thing.
It's a tug of war, and the patients are the ones who get screwed. Providers rely on billing to make money, regulators ride the providers for being wasteful, it becomes challenging for some providers to makes money, while some get rich f-ckiing the system. The reason America has so many laws for Fraud, Waste, and Abuse is they make it so lucrative. Everyone is pulling in different directions, and the cut-throats are the only ones who benefit.